Active NPI
Mary Elizabeth Hartwig, PH. D., APN
- Nurse Practitioner
- Jonesboro, AR
National Provider Identifier
1386759660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AO1219ANP
- Practice address
- 223 E Jackson Ave
Jonesboro, AR 72401-3119 - Phone
- (870) 972-0063
- Fax
- (870) 930-2914
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AO1219ANP | AR | Primary |
Addresses
Primary practice location
223 E Jackson Ave
Jonesboro, AR 72401-3119
Mailing address
223 E Jackson Ave
Jonesboro, AR 72401-3119
Phone (870) 972-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AO1219ANP | Other | AR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO1219ANP | AR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386759660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 E JACKSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013119",
"telephone_number": "870-972-0063",
"fax_number": "870-930-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 E JACKSON AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013119",
"telephone_number": "870-972-0063",
"fax_number": "870-930-2914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTWIG",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "PH. D., APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "AO1219ANP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AO1219ANP",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.